Dr. Lloyd James Gordon III
Internist - Addiction Medicine
3949 Highway 43 N
Brandon
, Mississippi 39047-7240
Dr. Lloyd James Gordon III
Internist - Addiction Medicine
3949 Highway 43 N
Brandon
, Mississippi 39047-7240
(601) 829-9389
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Lloyd James Gordon III
- 105 Colony Crown
- Brandon, MS
- Zip : 39047-8202
- Fax : (601) 829-9389
- Phone : (601) 829-3158
Second Address
- Dr. Lloyd James Gordon III
- 3949 Highway 43 N
- Brandon, MS
- Zip : 39047-7240
- Phone : (601) 829-2500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 7875 | MS |
National Provider Identifier
| NPI | 1730289802 |
|---|---|
| Provider Name | Dr. Lloyd James Gordon III |
| First Address | Brandon, MS 39047-8202 |
| Second Address | Brandon, MS 39047-7240 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 11/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D32838 | (02) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.